IndividualActive
Anthony Moulton, MD
NPI 1689695736 · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Providence, RI
Provider details
- NPI number
- 1689695736
- Entity type
- Individual
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 079657 (RI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1 Randall Sq
Ste 414
Providence, RI 02904-2709
Phone: (401) 331-4175
Fax: (401) 331-5718
Approximate (ZIP-level) locationGet directions
Mailing address
1 Randall Sq
Providence, RI 02904-2709
Registry dates
- Enumerated
- 2006-07-22
- Last updated
- 2007-11-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.